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Your retirement plans . . .

I’m trying to build empathy for people who work long hours, have whatever’s open at 5am or 2am as options, or don’t have wheels to go to the supermarket. And just want a meal and a cig after a long day’s work without some nerd’s moralizing.
You can't work full time and qualify for Medicaid.

Your perception of what a typical low income earner is doesn't match reality.
 
For someone who talks a big talk about intelligence you consistently have no clue.


The Nevada Department of Health and Human Services each year analyzes the number of Medicaid recipients working full time at businesses with 50 or more employees. Many interpret the list as a who’s who of the corporations that are not paying workers enough, since Medicaid eligibility is largely dependent on income.

Also GAO: based on numbers as of Feb 2020 and before

 
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On a lighter note my spouse used to do 12 hour shifts in a hospital and those folks eat like raccoons. Sure, there’s the one exception who trains for a marathon on their lunch break but they are folks that definitely understand nutrition but are also stressed the fuck out and overworked. Our system blows.
 
On a lighter note my spouse used to do 12 hour shifts in a hospital and those folks eat like raccoons. Sure, there’s the one exception who trains for a marathon on their lunch break but they are folks that definitely understand nutrition but are also stressed the fuck out and overworked. Our system blows.

I'd say the two people who take the worst care of themselves of anyone in my or my wife's friend group, are a couple who are ER staff. They literally do nothing outside of work other than kid activities, and I believe she doesn't actually eat any meals all day, and then just binges fast food at the end of shift.
 

providers can recouperate the costs.

I'm not in billing, but it's not just Medicaid. The government funded programs have lower pay rates than private health insurance. That includes Medicare and Tricare (and apparently state payouts for prisoners, but apparently that still pays decently).

That's not meant as a rebuttal, just expanding on the idea.

Way more so than an urgent care clinic trying to bill $90 for a $10 COVID-19 test.

Not addressed specifically to you, but it's important to understand where you're going to get the care. Is it an Urgent Care, or is it a self-contained ER? And UC will charge you $90. The self-contained ER will charge you $300. The various hospital companies like to set up self-contained ERs that look like UCs, so it's important to understand the difference.

Separate thought, but lord help you if you go to an ER at the end of July or into August. That's when the new residents show up. Yikes.
 
Separate thought, but lord help you if you go to an ER at the end of July or into August. That's when the new residents show up. Yikes.
I always love how the attendings seem offended when I tell them I don't consent to residents being present.

I'm not your fucking science experiment.
 
This guy is pretty hilarious and making fun of doctors (he’s an ophthalmologist himself).


He has some insights on our current state of healthcare.


His content made me laugh more than a Dave Chappelle special. Warms my heart that doctors also hate the asinine system we've created.
 
For someone who talks a big talk about intelligence you consistently have no clue.




Also GAO: based on numbers as of Feb 2020 and before

Yeah, way to argue a strawman.

I didn't say that medicaid recipients don't work, I said they don't work full-time.

The federal poverty level in 2025 is $15,650. To qualify for medicare, you have to make less than 138% of the poverty level in states that adopted the expansion, and 100% in states that did not.

So it is possible that you qualify for medicaid working full-time in a select few states that both accepted the expansion and have the minimum wage set at $7.25 / hour (vice something higher) and have a full-time role that pays the federal minimum wage, but that literally accounts for less than 1% of the entire workforce.

Nevada's minimum wage is $12.00 per hour. Which means you need to be a single parent of 1 or more children to qualify with a full-time position at exactly minimum wage. Amazon starts at $15-20 / hour in Nevada, which necessitates 2 or more children for a single parent to qualify. Assuming Amazon is employing people full-time, that article is another way of saying that there are too many single mothers or fathers in Nevada, and Amazon is offering the best opportunity for reliable full time employment.

Your Mk1 Mod0 medicaid recipient has one or more of the following: physical disability, mental disability, criminal history, substance abuse history, current substance addiction, a child out of wedlock under age of 25. These factors preclude gainful full-time employment, and most of them beyond disability are within control of the individual.
 
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You can't work full time and qualify for Medicaid.

I didn't say that medicaid recipients don't work, I said they don't work full-time.

Specifically you said they don’t qualify. But in any case, all demonstrably false, so take your fantastical picture of the poor based on 2 minutes of algebra and a fruitatarian diet and shove it.

The GAO:
The 12 million wage-earning adults (ages 19 to 64) enrolled in Medicaid—a joint

federal-state program that finances health care for low-income individuals—and

the 9 million wage-earning adults in households receiving food assistance from

the federal Supplemental Nutrition Assistance Program (SNAP) shared a range

of common labor characteristics. For example, approximately 70 percent of adult

wage earners in both programs worked full-time hours (i.e., 35 hours or more) on

a weekly basis and about one-half of them worked full-time hours annually (see

figure).
 
My time in the service is the closest I’ve come to being working class. I’ve never worked food service, but I’m grateful for the experience of having to work nights, show up to work at 5am, work weekends, do stupid working parties. And I know it was 10x worse for the enlisted. I’ve seen so many junior enlisted sweat and turn wrenches for 12 hours, go home and binge drink and blow their small but disposable paychecks on stupid things and do stupid things to their bodies, and come back and repeat day after day, week after week. It’s great to see that folks can build a comfortable middle class life as NCO’s and SNCO’s. But I also know some kids just wrap it up after a tour and go home and do a vastly similar thing in a Amazon warehouse or a Tesla factory.

All these reasons to look down on people and reject them as not deserving of our empathy or basic survival needs because they made what we might judge to be stupid choices. I’m pretty sure I’ve had a Marine check each of those boxes, and that makes it hard for me to say fuck it, you’re a burden and we’re above taking care of people even when they’ve made poor choices.
 
I've been very deliberate to put numbers on everything and you keep wanting to divert to emotion.

US Servicemembers statistically make 80th+ percentile income commensurate with their age and education when you account for all allowances, special pays, tax advantages, and healthcare.

While I'm sure some people separate and get smacked upside the head with that reality, I go back to the fact that you need to be earning less than $40,000 per year as a single income earner with multiple children to qualify for medicaid, which is the topic of discussion here. There are two ways to accomplish that as a veteran: disability from combat wounds, or making dumb decisions while active duty.

I also think there's a lot of gains to be made in promoting physical health among servicemembers, which also impacts mental health. While I disagree with SECDEF's delivery, he's not wrong. And the inside baseball is that he is most focused on the Navy.
 
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